Job Description: JOB SUMMARY Responsible for validating dispute reasons following Explanation of Benefits (EOB... consultations or account referrals when necessary, Generate an appeal based on the dispute reason and contract terms specific...
dispute resolution methods when applicable. Properly recognize and handles any Medicare reporting requirements, CMS requests... of the insurance policy affording coverage for the loss. Job Responsibilities: Medical Claims Handling: Identify involved...
internal and external dispute resolution. 8. Manage and improve EFT/EDI remittance process for payment of vendor invoices... to accounting and finance. 20. Creative problem solving to encompass investigation and forward thinking resolution...
investigation process, and provide updates on the resolution Identify and manage cases where consumers allege identity theft... comply with legal requirements Maintaining detailed records of all dispute investigations, including communication...
promotional practices, data privacy, dispute resolution and general creditor issues). Responsibilities: Primarily provide... to assigned functions or departments within the assigned business franchise. This role will deliver specialist legal advice...
operational support of the procurement team Demand management Supplier issue resolution Dispute resolution (receipt or payment... Manage the Operational Procurement Specialists (buyer/specialist team) and oversee process execution, facilitate training...
in North America. Customer Support Services accountabilities include customer master data, customer billing and dispute... resolution, and accounts receivable collection strategies and execution. The incumbent is the single point of contact...
with the customer to assist in resolving AR Collections Dispute Resolution issues. Other duties as assigned by the Customer... and specialist recruitment solutions. Our client has engaged us to assist them in hiring a contract Customer Service Representative...
Clinical DRG and Coding disparities in dispute from the insurer/auditor. Follow workflow processes to comply with contract.... Independently reviews the denial letter criteria received, reviews the medical record and pertinent documentation, laboratory values...
negotiations, and dispute resolution; collaborate with business partners; and advise colleagues in WBG office worldwide on policy... in determining the actual location of each of the positions described below: The Procurement Specialist (Category Manager) position...
negotiations, and dispute resolution; collaborate with business partners; and advise colleagues in WBG office worldwide on policy... in determining the actual location of each of the positions described below: The Procurement Specialist (Category Manager) position...
- in conjunction with the Regulatory and Compliance specialist areas in GE Healthcare. Supporting on dispute resolution... medical technology and digital solutions innovator. Our purpose is to create a world where healthcare has no limits. Unlock...
, productivity analysis, claims, contracts, and dispute resolution. Demonstrated experience in growing, developing, and leading... development, service delivery, and team leadership within a well-established specialist team. Exercise technical leadership...
Job Description: COMPANY NAME: Hyman, Inc. POSITION TITLE: Big Box Retailer Accounts Receivable Specialist... Specialist with current experience managing big box retail accounts. In this role you will focus on accounts receivable, maintain...
transactions or dispute resolution. Commercial mindedness and possession of a strong legal skill set. Ability to analyze facts... with specialist teams within the BAU to resolve issues. Referring commercial issues to relevant stakeholders, including practice...
. SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team. Prior Authorization Specialist duties..., time frame and provider. Supporting the appeal process by communicating and coordinating resolution expectations...
: JOB SUMMARY: The Card Fraud Investigator, also known as Card Fraud Specialist, is responsible for providing strategic... prevention, and revenue enhancement. Responsible for investigating, researching, and processing Debit/ATM dispute packets...
distribution and pricing agreements, royalty forensics, and dispute resolution and process improvement analysis. To really stand... and/or a proven record in the following areas: Serving as a subject matter specialist in a client-facing capacity; Designing...
Strong motivational skills including conflict/dispute resolution techniques Must have access to reliable internet connection... is responsible for Clinical Oversight of ECM Lead Care Managers to address the client's medical and behavioral health needs, as well...
, disciplinary actions, dispute resolution, performance and talent management, and productivity enhancement. Serve as a key resource... Specialist, or HR Coordinator in a warehouse, distribution, or logistics environment. Bachelor's degree in Human Resources...